New Wave Dermatology and Laser

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

NEW WAVE DERMATOLOGY AND LASER

Practice address

5010 Campus Dr # 140
Newport Beach, CA 92660-2120

Phone

(949) 395-6221

NPI assigned

Mar 7, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bobak Hedayati, MDNPI 1568090272

Title

Owner Ceo

Phone

(949) 395-6221

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bobak Hedayati, MD

  • MOHS-Micrographic Surgery Physician
  • Newport Beach, CA
  • NPI 1568090272
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761955200000",
    "number": "1972302560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 CAMPUS DR # 140",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602120",
            "telephone_number": "949-395-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 CAMPUS DR # 140",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602120",
            "telephone_number": "949-395-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW WAVE DERMATOLOGY AND LASER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-11-01",
        "certification_date": "2025-11-01",
        "status": "A",
        "authorized_official_last_name": "HEDAYATI",
        "authorized_official_first_name": "BOBAK",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "949-395-6221",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mark Alan Newman, M.D.
• Stephen Todd Newman, MD

• MOHS-Micrographic Surgery Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• MOHS-Micrographic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.